Radiographic Diagnosis of Occult Distal Fibular Avulsion Fracture in Children With Acute Lateral Ankle Sprain
BACKGROUND:Skeletally immature children with ankle sprain are presumed to have distal fibula fracture than ligamentous injury. The purpose of this study is to determine the incidence of associated occult avulsion fracture in children with lateral ankle sprain and the efficacy of identifying fracture...
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| Veröffentlicht in: | Journal of pediatric orthopaedics 2015-06, Vol.35 (4), p.352-357 |
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| container_title | Journal of pediatric orthopaedics |
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| creator | Kwak, Yoon-Hae Lim, Jae-Young Oh, Min-Kyung Kim, Woo-Jin Park, Kun-Bo |
| description | BACKGROUND:Skeletally immature children with ankle sprain are presumed to have distal fibula fracture than ligamentous injury. The purpose of this study is to determine the incidence of associated occult avulsion fracture in children with lateral ankle sprain and the efficacy of identifying fractures using anterior talofibular ligament view.
METHODS:Patients who were diagnosed with distal fibular fracture in the initial ankle anteroposterior, lateral, and mortise were excluded and 78 patients (below 16 y of age) who had been initially diagnosed as ankle sprain were included. The initial and 4 weeks’ follow-up ankle series and additional anterior talofibular ligament view suggested by Haraguchi were evaluated.
RESULTS:Twenty patients were diagnosed with occult distal fibular avulsion fracture. Ten patients were diagnosed in anterior talofibular ligament view and others were diagnosed in the follow-up radiography. Displacement was highest on the anterior talofibular ligament view.
CONCLUSIONS:This study found 20 (26%) of 78 ankle sprain show occult avulsion fracture in the anterior talofibular ligament view or follow-up radiography. The anterior talofibular ligament view is an appropriate radiologic view for the diagnosis of distal fibular avulsion fracture.
LEVEL OF EVIDENCE:Level IV—diagnostic study. |
| doi_str_mv | 10.1097/BPO.0000000000000271 |
| format | Article |
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METHODS:Patients who were diagnosed with distal fibular fracture in the initial ankle anteroposterior, lateral, and mortise were excluded and 78 patients (below 16 y of age) who had been initially diagnosed as ankle sprain were included. The initial and 4 weeks’ follow-up ankle series and additional anterior talofibular ligament view suggested by Haraguchi were evaluated.
RESULTS:Twenty patients were diagnosed with occult distal fibular avulsion fracture. Ten patients were diagnosed in anterior talofibular ligament view and others were diagnosed in the follow-up radiography. Displacement was highest on the anterior talofibular ligament view.
CONCLUSIONS:This study found 20 (26%) of 78 ankle sprain show occult avulsion fracture in the anterior talofibular ligament view or follow-up radiography. The anterior talofibular ligament view is an appropriate radiologic view for the diagnosis of distal fibular avulsion fracture.
LEVEL OF EVIDENCE:Level IV—diagnostic study.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/BPO.0000000000000271</identifier><identifier>PMID: 25036414</identifier><language>eng</language><publisher>United States: Copyright Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adolescent ; Ankle Injuries - complications ; Ankle Injuries - diagnosis ; Ankle Joint - diagnostic imaging ; Child ; Child, Preschool ; Diagnosis, Differential ; Female ; Fibula - diagnostic imaging ; Fibula - injuries ; Follow-Up Studies ; Fractures, Closed - diagnosis ; Fractures, Closed - etiology ; Fractures, Malunited - diagnosis ; Fractures, Malunited - etiology ; Humans ; Lateral Ligament, Ankle - diagnostic imaging ; Male ; Radiography ; Reproducibility of Results</subject><ispartof>Journal of pediatric orthopaedics, 2015-06, Vol.35 (4), p.352-357</ispartof><rights>Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4261-8f18fe1323ae99c2ffbed304101b361b097860094066232af6a2201eaf0a0d4c3</citedby><cites>FETCH-LOGICAL-c4261-8f18fe1323ae99c2ffbed304101b361b097860094066232af6a2201eaf0a0d4c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25036414$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kwak, Yoon-Hae</creatorcontrib><creatorcontrib>Lim, Jae-Young</creatorcontrib><creatorcontrib>Oh, Min-Kyung</creatorcontrib><creatorcontrib>Kim, Woo-Jin</creatorcontrib><creatorcontrib>Park, Kun-Bo</creatorcontrib><title>Radiographic Diagnosis of Occult Distal Fibular Avulsion Fracture in Children With Acute Lateral Ankle Sprain</title><title>Journal of pediatric orthopaedics</title><addtitle>J Pediatr Orthop</addtitle><description>BACKGROUND:Skeletally immature children with ankle sprain are presumed to have distal fibula fracture than ligamentous injury. The purpose of this study is to determine the incidence of associated occult avulsion fracture in children with lateral ankle sprain and the efficacy of identifying fractures using anterior talofibular ligament view.
METHODS:Patients who were diagnosed with distal fibular fracture in the initial ankle anteroposterior, lateral, and mortise were excluded and 78 patients (below 16 y of age) who had been initially diagnosed as ankle sprain were included. The initial and 4 weeks’ follow-up ankle series and additional anterior talofibular ligament view suggested by Haraguchi were evaluated.
RESULTS:Twenty patients were diagnosed with occult distal fibular avulsion fracture. Ten patients were diagnosed in anterior talofibular ligament view and others were diagnosed in the follow-up radiography. Displacement was highest on the anterior talofibular ligament view.
CONCLUSIONS:This study found 20 (26%) of 78 ankle sprain show occult avulsion fracture in the anterior talofibular ligament view or follow-up radiography. The anterior talofibular ligament view is an appropriate radiologic view for the diagnosis of distal fibular avulsion fracture.
LEVEL OF EVIDENCE:Level IV—diagnostic study.</description><subject>Adolescent</subject><subject>Ankle Injuries - complications</subject><subject>Ankle Injuries - diagnosis</subject><subject>Ankle Joint - diagnostic imaging</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Fibula - diagnostic imaging</subject><subject>Fibula - injuries</subject><subject>Follow-Up Studies</subject><subject>Fractures, Closed - diagnosis</subject><subject>Fractures, Closed - etiology</subject><subject>Fractures, Malunited - diagnosis</subject><subject>Fractures, Malunited - etiology</subject><subject>Humans</subject><subject>Lateral Ligament, Ankle - diagnostic imaging</subject><subject>Male</subject><subject>Radiography</subject><subject>Reproducibility of Results</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFP3DAQhS3Uqiy0_wAhH7mEeuyskxyXpVsqrbQVtOoxmjhjYvAmix0X9d83aAGhHjqXkZ7ee6P5GDsBcQ6iKj5ffN-ci7cjCzhgM5irKpPzQrxjsycp00VVHrKjGO-EgELl6gM7lHOhdA75jG2vsXXDbcBd5wy_dHjbD9FFPli-MSb5cdLiiJ6vXJM8Br74nXx0Q89XAc2YAnHX82XnfBuo57_c2PGFSSPxNY4UpuCiv_fEb3YBXf-RvbfoI3163sfs5-rLj-VVtt58_bZcrDOTSw1ZaaG0BEoqpKoy0tqGWiVyENAoDc30fqmFqHKhtVQSrUYpBRBagaLNjTpmZ_veXRgeEsWx3rpoyHvsaUixBl0KqFSpYbLme6sJQ4yBbL0LbovhTw2ifgJdT6Drf0FPsdPnC6nZUvsaeiE7Gcq94XHwE4h479Mjhboj9GP3_-6_PeKJLA</recordid><startdate>201506</startdate><enddate>201506</enddate><creator>Kwak, Yoon-Hae</creator><creator>Lim, Jae-Young</creator><creator>Oh, Min-Kyung</creator><creator>Kim, Woo-Jin</creator><creator>Park, Kun-Bo</creator><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201506</creationdate><title>Radiographic Diagnosis of Occult Distal Fibular Avulsion Fracture in Children With Acute Lateral Ankle Sprain</title><author>Kwak, Yoon-Hae ; Lim, Jae-Young ; Oh, Min-Kyung ; Kim, Woo-Jin ; Park, Kun-Bo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4261-8f18fe1323ae99c2ffbed304101b361b097860094066232af6a2201eaf0a0d4c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Ankle Injuries - complications</topic><topic>Ankle Injuries - diagnosis</topic><topic>Ankle Joint - diagnostic imaging</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Fibula - diagnostic imaging</topic><topic>Fibula - injuries</topic><topic>Follow-Up Studies</topic><topic>Fractures, Closed - diagnosis</topic><topic>Fractures, Closed - etiology</topic><topic>Fractures, Malunited - diagnosis</topic><topic>Fractures, Malunited - etiology</topic><topic>Humans</topic><topic>Lateral Ligament, Ankle - diagnostic imaging</topic><topic>Male</topic><topic>Radiography</topic><topic>Reproducibility of Results</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kwak, Yoon-Hae</creatorcontrib><creatorcontrib>Lim, Jae-Young</creatorcontrib><creatorcontrib>Oh, Min-Kyung</creatorcontrib><creatorcontrib>Kim, Woo-Jin</creatorcontrib><creatorcontrib>Park, Kun-Bo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kwak, Yoon-Hae</au><au>Lim, Jae-Young</au><au>Oh, Min-Kyung</au><au>Kim, Woo-Jin</au><au>Park, Kun-Bo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radiographic Diagnosis of Occult Distal Fibular Avulsion Fracture in Children With Acute Lateral Ankle Sprain</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>2015-06</date><risdate>2015</risdate><volume>35</volume><issue>4</issue><spage>352</spage><epage>357</epage><pages>352-357</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><abstract>BACKGROUND:Skeletally immature children with ankle sprain are presumed to have distal fibula fracture than ligamentous injury. The purpose of this study is to determine the incidence of associated occult avulsion fracture in children with lateral ankle sprain and the efficacy of identifying fractures using anterior talofibular ligament view.
METHODS:Patients who were diagnosed with distal fibular fracture in the initial ankle anteroposterior, lateral, and mortise were excluded and 78 patients (below 16 y of age) who had been initially diagnosed as ankle sprain were included. The initial and 4 weeks’ follow-up ankle series and additional anterior talofibular ligament view suggested by Haraguchi were evaluated.
RESULTS:Twenty patients were diagnosed with occult distal fibular avulsion fracture. Ten patients were diagnosed in anterior talofibular ligament view and others were diagnosed in the follow-up radiography. Displacement was highest on the anterior talofibular ligament view.
CONCLUSIONS:This study found 20 (26%) of 78 ankle sprain show occult avulsion fracture in the anterior talofibular ligament view or follow-up radiography. The anterior talofibular ligament view is an appropriate radiologic view for the diagnosis of distal fibular avulsion fracture.
LEVEL OF EVIDENCE:Level IV—diagnostic study.</abstract><cop>United States</cop><pub>Copyright Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>25036414</pmid><doi>10.1097/BPO.0000000000000271</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Ankle Injuries - complications Ankle Injuries - diagnosis Ankle Joint - diagnostic imaging Child Child, Preschool Diagnosis, Differential Female Fibula - diagnostic imaging Fibula - injuries Follow-Up Studies Fractures, Closed - diagnosis Fractures, Closed - etiology Fractures, Malunited - diagnosis Fractures, Malunited - etiology Humans Lateral Ligament, Ankle - diagnostic imaging Male Radiography Reproducibility of Results |
| title | Radiographic Diagnosis of Occult Distal Fibular Avulsion Fracture in Children With Acute Lateral Ankle Sprain |
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